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HomeMy WebLinkAboutMiscellaneous - 24 EAST WATER STREET 4/30/2018l Date... . Z�..J .. ee.p.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......... ........ /7 . r� �'� SS • S has permission to perform ... fv::. `...'........1 ........ /.. .................................... wiring in the building of ......!L �/ ....... * ...... t sri r ......... at ..... :R./ ....... .......... North/Andover, Mass. .... ..... ELECTRICALINSPECTOR Check # 2 % 872 NORTH °E StitrJ rp�ri'� Town of North Andover Machine Shop Village Neighborhood Conservation District Commission 1600 Osgood Street North Andover MA 01845 CHU Application For EXCLUSION From Certificate to Alter Certain alterations are excluded from review by the Machine Shop Village Neighborhood Conservation District Commission in accordance with the Bylaw. Applicants for exempt projects must fill out the forrm'� below and submit to the Commission Chairperson (contact info below). !'"1 Date: u c'1 t/ e f ,fi mil l l Contact Name & Address: Project Address:) Ll E W A16-112- 51 L1, Project Description (attach additional pages, if needed): Exclusion From Review Requested For. ❑ 1. Interior Alterations ❑ 2. Storm windows and doors, screen windows and doors. ❑ 3. Removal, replacement or installation of gutters and downspouts. 4. Removal, replacement or installation of window and door shutters. ❑ 5. accessory buildings of less than 100 square feet of floor area. ❑ G. Removal of substitute siding. ❑ 7. Alterations not visible from a public way. ❑ 8. Ordinary maintenance and repair of architectural features that match the ,�1 A� C :1 I I- 6 SL)ISSTI i existing conditions including materials, design and dimensions. 9. Replacement of existing substitute doors, substitute siding or substitute windows with new materials that are substantially similar to the existing condition. ❑ 10. Replacement of original fabric windows or doors with substitute windows or doors that maintain the architectural integrity with respect to form, fit and function of the original windows or doors. ❑ 11. Reconstruction, substantially similar in exterior design, of a building, damaged or destroyed by fire, storm or other disaster, provided such reconstruction is begun within one year thereafter. MSV NCDC Pagel Current Chair: Liz Fennessy, 77 film Street, €izettafennessynyahoo.com, 978-688-2915 r►OR7ft F.: Town of North Andover Machine Shop Village Neighborhood Conservation District Commission 1600 Osgood Street, North Andover, NIA 01845 CHus° $ A li.catioln For EXCLUSION From Certificate to Alter For ems 9,10 or 11, provide the following documentation: hotos/drawings of existing doors, windows or siding, as applicable 4 Description/Catalog Cuts of proposed materials to be used for doors, windows or siding Plan and elevation of reconstruction for Item 11 Determination: This project is determined to be exempt 0 not exempt from review by the Machine Shop Pillage Neighborhood Conservation District Commission. Projects that are not Mm t must complete the Application for Certificate to Alter, available from the Building Department and be reviewed by the Commission. Determination made by: Signature C I'l a `,-) c q Neighborhood Conservation District Commission r� € Date MSV NCDC Page 2 Current Chair: Liz Fennessy, 77 Elm Street, lizettafennessyna, ahoo.con 978-688-2915 i "k -N Commonwealth of MassachusettsFPermmit Official Use Only Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS d Fee Checked nP�„a�,i,.,,� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT flVBWORTYPEALL XFO"ATION) Date: City or Town of: NORTH ANDOVER - � ”pector rf O By this application the undersigned gives notice f his or her intention to perform the electrical woork described below. Location (Street & Number),j_4, Owner or Tenant JL1_1�/fe e f�--S G �� Owner's Address (< ,61 qD, y� / o /A �n C Telephone No.j`" Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building � . EJ (Check Appropriate Box) `�✓ Utility Authorization No. Existing Service Amps _ / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical . _. n No. of Recessed Luminaires No. of Ceil: Susp. (Padd No. of Luminaire Outlets. No. of Hot Tubs No. of Lamina res Swimming Pool Above ❑ In-Elo. rnd• d. No. of Receptacle Outlets No. of Oil Burners No. of Switches No. of Gas Burners No. of Ranges No. of Air Cond. No. of Waste Disposers Tons No. of Alerting Devices No. of DishwashersNo. =Aces of Dryers Heating pplian No. of Water, Heaters No. of SIMS B No. Hydromassage Bathtubs No. of Motors T OTHER: of the fo'ilowing table may `be waived by rhe In.cnortn. { m: le) Fans No. of _. _J ., ., w. Total . Transformers YVA Generators KVA ❑ In-Elo. rnd• o mergency ig g Batte Units FIRE ALARMS No. of Zones No. of Detection and InitiatingTotDevices Tons No. of Alerting Devices :ons KW _ No, of Self Contained Detection/Alerting Devices V Local ❑ Municipal ❑Other Connection KW Security Systems: * _ No. Devices o. of allasts of or Equivalent Data Wiring: . No. of Devices or, E uivalent otal HP Telecommunications Wiring: No. of Devices or E uivalent Estimated Value of Electrical Work: X. �-� Attach additional detail if desired, or as required by the Inspector of Wires. (When required by municipal policy.) Work to Start Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. undersigned certifies that such coverage is in force, and has exhibited proof of same to the peThe rmit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: �IhS-e-P14 _ LIC. NO.: Licensee: � � I�eSS � S Signator , (If applicable, enter "exempt " in t e license number lin LIC. NO.:-, Address: Bus. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Alt. L cI. No C 7 tom/rf6?Sg' OWNER'S PJSVRANCE W R: I am aware that the Licensee does not have the liability ins ce coverage normally re5Wrc by 1 y my signa elo�J, I hereby waive this requirement I am the (check one) owner ❑owner's agent mer ature en Telephone No. f�� �c � �an ,��� ��7 �1 ��a� � � � t krr4 7 > n. a iiNNyy3t� /' i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Nrtashingion Street Boston, MA 02111 C r www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers DDlicant Tnfnrrtr►af;nn Name (Business/Organiza6oMndividual): City/state/Zip: Phone #: . re you an employer? Check the appropriate box: ❑ I am a employer with F 4. ❑ 1 am a general contractor and I �mployees (full and/or part-time).* have Dred the sub -contractors i am a.sole proprietor or partner_ listed on the attached sheet x ship and have no employees These sub -contractors have working for me .in any capacity. [No workers' comp. insurance workers' comp. insurance. 5. ❑ We are a corporation and its required.] 3. ❑ I airs a homeowner doing officers have exercised their all work right of exemption per MGL myself [No -workers' comp. c. 152, § 1(4), and we have no insurance required.) t employees. [No workers' COMP. insurance required.) 7 Any applicant tient checks boz' 1F I must also fill out the section below showing their workers' com set' Type of project (required): 6. ❑ New construction 1. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.ZElectrical repairs or additions 11.❑ Plumbing repairs or additions 12.[] Roof repairs 13.❑ .Other inToon,Homeowners who submit this affidavit indicating they ate doing all work and then hire outside c ntmctom mustPulianew affidavit indicating such. ;Catrttactors that check this box must attached an additional sheet showing the name of the sub-conttactors and their workers' comP . oil infomtadon. Policy 1 asn an Er, loyEr that is providing "orkers' compensation Insurance for my employees: Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herebJertify and, . thep ins7d penalties of perjury that the information provided above is trite and correct Off1cia1 use only, Do not write m this area, to be compleW by city or townn official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the'foregoing engaged in a joint enterprise, and includirig the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. 'However the owner -of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit compietely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to cavy workers' compensation insurance. If an LLC or LLP does have i employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not1he Department of Industrial Accidents. Should you have any questions regar-ding the law or if you are required to obtain a workers' compensation policy, please call the Department at the nurrnberlisted below. Self-insured companies should enter their self insuranceiicense number on theappropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/Iicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-8.77-MASSAFE Revised 5-26-05 Fax # 617-727-7744 www.mass.gov/dia Location •No. o-�-�f Date TOWN OF NORTH ANDOVER rA tie Certificate of Occupancy $ 1-50 ;s''••°'t<� AcBuilding/Frame Permit Fee $ sMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 00 •C`ti`�eck # `tel 15148 Building Inspeor v L TOWN OF NORTH ANDOVER UILDING DEP ,T' T'EPLICATION'TU CONSTRUCT.REPAIR, RENOVATE,.: QR DEMOLISK A,UNE OR TW.O.FAMILY.DWELLING r� R. BUILDING PERMIT 4WNIBER' DATE ISSUED: ' _ SIGNATURE: !l Building Commissioner/i for of.Buildings Date tT n w�. axLe1V 1-J11 S, uq r vactvj^ i>_vt'4 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Prop ert y Dmignsio rs: Zonin District Pr_` QSedUse. _..: Lot area -Fr onta"e f s: 1.6 BUILDING SETBACKS ft at n Front Yard Side Yard Rear Yard Required Provide R ' "red Provided R 'red Provided 1.7 Water Supply MGI—C.40. 54) 1.5. Flood Zone lnfoimatwn 1.9 Sewerage Disposal'Systet& Public . 0 Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System; ❑ SACTION 2-- PRGPERTY OWNERSE[ P/AIZTHORIZED AEENT 2,1 Owner of Record Aame�(tri�nt- Address for Service Signature Telephone 2.2 Owner of Record: C Name Print Addressfor Service: Front Yard Side Yard Rear Yard Required Provide R ' "red Provided R 'red Provided 1.7 Water Supply MGI—C.40. 54) 1.5. Flood Zone lnfoimatwn 1.9 Sewerage Disposal'Systet& Public . 0 Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System; ❑ SACTION 2-- PRGPERTY OWNERSE[ P/AIZTHORIZED AEENT 2,1 Owner of Record Aame�(tri�nt- Address for Service Signature Telephone 2.2 Owner of Record: Name Print Addressfor Service: Si nature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ .,icensed Construction Supervisor: License Number I lddress MeZ ��¢ I Expiration Date iatu c, phon - .2 Registered Home Improvement Contractor ompany Name 7 Lq i6b i(lzl l� s I`, UP A�up0✓�/L h44ddress gnatu N Telen nne Not Avvlicable ❑ Registration Number Expiration Date SECTION 4 - WORKERS COIVIPENSATI Workers Compensation Insurance affidavit must 1 in the denial of the issuance of the bujlding permi Signed affidavit Attached Yes .., .No._..: SECTION 5Descri tiojh of Pro osed Wort New Construction Existing Build; Accessory Bldg. ❑ Demolition Brief Description of Proposed Work: (IVLG-L: C $52 § 25c(6) impleted and submitted with Phisapplication. Failure to provide this affidavit will result teck.afl a livable ❑' Repair(s) ❑ Alterations(s) (] Addition ❑ Other ❑ Specify aml lllJ'1N 6 - hbItLMA IEV kAJINbIKU ; I LVf4`U4Jbfb Item Estimated Cost (Dollar) to be tk Completed b rmit a licant 1. Building b bB (a)' Building Permit Fee ` / 1Vlulti` ler !o '�S'b b { )..:.:cT Cost of onstruction 2 Electrical b Estimated Tota 3 _ Plumbin ... Building. Permit fee (a) x (b) 4 ` Mechanical. HVAC). . 5 Fire Protection• 6 Total1++3+4+5 Check Dfiuifibei _. SECTION 7a OWNER AUTHORIZA BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BULLDING PERMIT l as Owner/ uthorized Agent f subject property Herebyauthorize f Wt Wt ONS o act on M behalf, in all mattersrelative to work authorized by this building permit application. Signature of Owner Date SECTION 71b OWNER/AUTHORIZED AGENT DECLARATION I> ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/. Date BASEMENT OR SLAB LSIZE OF FLOOR TIlSIBERS 1 ST 2ND 3KP IS IONS OF SILLS IONS OF POSTS IONS OF GIRDERS OF FOUNDATION FOOTING A,L OF CHIIyINEY SING ON SOLID OR FILLED LAND SING CONNECTED TO NATURAL GAS LINE THICKNESS X P. t I t FORM U.- LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS. SECT N* APPLICANT���� C' ���J'�� HONE LOCATION: Assessor's Map Numbe � ARC,EL 7� -1/1,55) 3J6 SUBDIVISION LOT (S) STREET,E-�ji���. ST. NUMBER *****************************************OFFICIAL USE ONLY*********************************** CONSEFWATION ADMINISTRATOR � p: ►C� tncf�`�n5p�:{,cn.c.a��'uc-{�� �� G P 0 M Mi NTS TOWN PLANNER r COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PER IT FIRE DEPARTMENT / o 1 74, RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm Town of North Andover It HORTII 0. Office of the Zoning Board of Appeals Community Development and Services Division - 27 Charles Street'0 _wZ.-- North Andover, Massachusetts 01845 'SSACHugt� D. Robert Nicetta Telephone (978) 688-9541 Building Commissioner Fax (978) 688-9542 Any appeal shall be filed Notice of Decision within (20) days after the Year 2001 date of filing of this notice in the office of the Town Clerk. Property at: 24 East Water Street NAME: Richard T. & Nancy C. Robinson DATE: 10/10/01 ADDRESS: 24 East Water Street PETITION: 023-2001 North Andover, MA 01845 HEARING: 9/18/01& 10/9/01 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, February 13, 2001 at 7:30 PM upon the application of Richard T. & Nancy C. Robinson, 24 East Water Street, North Andover, MA 01845 as to allow for a Special Permit from Section 9, Paragraph 9.1 & 9.2 to allow for a proposed addition of a 3rd o dwelling unit with a 2 stall garage underneath, and to alter an existing deck on a pre- o existing non -conforming structure. The following members were present: William J. Sullivan, Walter F. Soule, Raymond— Vivenzio, Robert Ford, George Earley, Ellen McIntyre and John Pallone. -0 W Upon a motion made by Raymond Vivenzio and 2°d by Walter F. Soule the Board vot& to GRANT the Special Permit to allow for the 3rd dwelling unit with a 2 -stall garage cn underneath as shown on pians dated July 26, 2001. In accordance with the Plan of Land by: Scott L. Giles, P.L.S. 441713, Scott L. Giles & Frank S. Giles Surveying, 50 Deermeadow Road, No. Andover, MA 01845 dated: 7/26/01. Voting in favor: WJS/WFS/RV/JP/RF The Board finds that the applicant has satisfied the provisions of Section 9, Paragraphs 9.1 & 9.2 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two (2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced, it shall lapse and may be re-established only after notice, and a new hearing. Town of North Andover Board of Appeals, William 1.1 . Sullivan BOARD OF APPEALS 688-95 1 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 CD 0 C:) -i-< _ m m CO CD DZCD �,�_ ter—>< CDMCDM CD CD M > ::0 ::E MORTGAGE INSPECTION PLOT PLAN . NORTHERN ASSOCIATES, INC. 630 TURNPIKE STREET N.ANDOVER MA (508)975-7117 MORTGAGOR." LOCATION.• RICHARD T. G NANCY C. ROMSON 24 EAST WATER STREET DEED REF. 1485 . 231 CITY, STATE,• N. ANDOVER MA PLAN REF. 5959 DA TE.' . 3 / 4 / 92 SCA LE.• 1- 40' JOB aR 92/ 2262 _3u�Lr•-Ali__._ fir ---/S•T�DlT.iO�_.-'_..Zr_4_F�s131?�' w- Z LOT 5 EAST WA TER STREET CERTIFIED .TO.' METHUEN CO-OPERATIVE BANK NOTE: This mortgage inspection was prepared specifically for mortgage purposes and is not to be relied upon as a stavey. Northem Associates, Inc. accepts no responsibility for damages resulting from said reliance by— anyone other than the said mortgagee and Its ass in coonnp � with Its proposed mortgage financing said I FURTHER STATE THAT IN MY PROFESSIONAL OPINION the principle strw1urds and soceswfy keTT—CONFORNI-�-/- ,f with the setback requirements of the local zottirtg or&W"s, and that there aro no enmachmartts of major Improvements either way atxoss property fines except as sttovm. Ma a0T00 ALSO; This mongeae Inspection was prepared in ® t. Property Is not In a Flood guard Area. with the `'ichnicai Standards for Mortgage O 2. PmpwV is In a Flood Hazard Area. Inspections as adopted by the Massachusetts As tion 0 3. Information Is Insuffident to datarmine Flood Hazard. of t.ar►d Surveyors and Civil Engineers, Inc, Flood Hazard determined from latest Federal Flood T- '=i L I ORM 118-3 Available from Jn a Inc., Groton, Mass. 01450 ' Page No. of Pages SIMMONS REMODELING CO. 729 Boxford Street NORTH ANDOVER, MASSACHUSETTS 01845 Phone 682-1784 PROPOSAL SUBMITTED TO PHONE DATE STREET JOB NAME 4 �i / I— �i y� // CITY, STATE AND ZIP CODE y�`' JOB LOCATION /,rA` i/✓N e,— 1 _ �� i ' ,, 2-4 W l . ARCHITECT IF Tei 1 ,6 v DATE OF PLANS 7_ JOB PHONE We hereby submit specifications and estimates for: ......... 7-1,o X) ....... CD�2�7 /��®®� /v2 C — .. ..... CO Al S rx vG"7` OtiT� S 7B�' � ,a v> �n / �� -- �� /L ©L--4 A--) .............. . /mss lr,� iA14PPuS f -f aS'r,91 4 • _5,446 Z" / tP C.lz-- ............... ........ k rA5:�/,PIL .T21 3 n -%SGS v ..... f2 el " l" -I.AE ..�Ud til iV � _ .,._ t S #1811 J_ C-14.IZP4 71.. /1 L i/m IVP Propo,iP hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: i I I )-f 7-Y 1 U_� b 7r_Hl� US 4 Azo dollars ($ Payment to be made as follows: 4S a iJ2 jZ 49PZ,12 ' 'x�S - I✓r�li,YJ All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica- tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Arrep#ttnXe of 11rupowd —The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Authorized ' Signature 1i7/1wLl�d� Note: This proposal may be withdrawn by us if not accepted within days. Signature—__�_— �/re �am»zaruuete`!�. a�. �%a:sac'�iurel�s f BOARD OF BUILDING REGULATIONS =s 4 License: CONSTRUCTION SUPERVISOR j Number: CS 016532 Birthdate: 12/11/1943 Expires: 12/11/2001 Tr. no: 10721 Restricted To: 00 JEFFREY M SIMMONS 729 BOXFORD ST L�•� N ANDOVER, MA 01845 Administrator flAf f R00f E'Ki"t%I�fa�CT{l�'"'Q`•1`•' � Registration: 115970 3 Expiration: 05/04/2002 Type: Individual SIMMONS BUILDING E REMODEL JEFF SIMIIONS 729 80RFORD ST G��eM�o7`i WHOVER M4 01845 ADMINSTRATOR I c 1ID' TO I AMIT, 57 Registry of Deeds Northern District of Essex County Lawrence, MA 01840 11/O2/O1 NANCY ROBINSON AN # 44 Rec: Type DECSN 10.001 r`st 4042� C. P' 20.60 Total 30.00 # 45 PaAent Check 3100 THANK YOU! Thomas J. Burke Register of Deeds 0.���� *no^v,- Registry of Deeds Northern District of Essex County Lawrence, MA 01840 11/O2/O1 wHN[7 ROBINSON # 42 Rec.!. Type PLAN 22.00 �ns� 4O426 C. P. 20.00 Copies 2.00 Total 44,00 # 43 Parnnt Check 44.00 THANK YOU! Thnmas J. Bxrke. Name: S k- K %2 f f4 14-4 - � ) 1-V P4 j Al S" Location: % Z !i /&d A1Ga&4 SP = aam a homeowner performing 'all work myself. I— l m a -sole proprietor and have no one working in any capacity = I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone #: Insurance Co. Policy # Company name: Address City: Phone #: Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct. Signa Print Official use only do not write in this area to be completed by city or town official' ❑Check if immediate response is required Building Dept Contact FORM WORKMAN'S COMPENSATION //-41=Al # 9r7 7 jP4. r-1 Building Dept E] Licensing Board E] Selectman's Office r7 Health Department 0 Other s MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 TITLE: PLAN NO. 9924 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 11-1-2001 DATE OF PLANS: 7-25-01 PROJECT INFORMATION: APT. UNIT TO EXISTING HOUSE COMPANY INFORMATION: BRUNO ASSOC. 28 BERKELEY ROAD N. ANDOVER, MA 01845 COMPLIANCE: Passes Maximum UA = 210 Your Home = 168 Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 720 30.0 0.0 25 WALLS: Wood Frame, 16" O.C. 864 13.0 0.0 71 BSMT: Conc. 8.0' ht/7.0' bg/8.0' insul 720 19.0 0.0 32 GLAZING: Windows or Doors 78 0.330 26 DOORS 42 0.330 14 HVAC EQUIPMENT: Furnace, 87.5 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in'the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. A Builder/Designer Date ''� TITLE: PLAN NO. 9924 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 11-1-2001 Bldg.I Dept.I Use I I CEILINGS: [ ] I 1. R-30 I Comments/Location I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-13 I Comments/Location I BASEMENT WALLS: [ ] I 1. Conc. 8.0' ht/7.0' bg/8.0' insul, R-19 interior cavity I Comments/Location I WINDOWS AND GLASS DOORS: [ ] I 1. U -value: 0.33 I For windows without labeled U -values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I DOORS: [ ] I 1. U -value: 0.33 I Comments/Location I I HVAC EQUIPMENT: [ ] I 1. Furnace, 87.5 AFUE or higher I Make and Model Number I I AIR LEAKAGE: [ ) I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: [ ] I Required on the warm -in -winter side of all non -vented framed I ceilings, wall,9, and floors. I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): HEATING SYSTEMS: Low pressure/temp. Low temperature Steam condensate COOLING SYSTEMS: Chilled water or refrigerant CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 201-250 1.0 1.5 1.5 2.0 120-200 0.5 1.0 1.0 1.5 any 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): ----NOTES TO FIELD (Building Department Use Only)------------------------- PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1 1.0 1.5 2.0 140-160 0.5 1 0.5 1.0 1.5 100-130 0.5 1 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- r North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: L& )g7 S (Location of Facility) Si nature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Ln ::r < t, m o aio5 :3- -4 n CL z �o o �D=C CD -0 0 caye � > > INco o -4 3 CP 3N' ona, �� ° d 0 0. E5o n CD m 7 — 5 0 M p O 7 m 3' �' ` x MfD ro cr a �.� C CL U3 o a 3 m a a C � °« 1 c °c _ c E o \ Nv.�cra = � CL 1 � (D Q U N - fD _3' TH �-► 3 W V U3m iii M (D py a a 0 0 n CD .v_ E m;; o� 3 °ss' n �r bD Mc cD : M m 4 N 00 ZCD Ss z Z o z O z 0 O O °TO S N� cY D o o '-q N _ S �0 s a 0 � 0 CD `.W Cf) m m m m 0 v CO CO) Cl) 10 0 CD C-) z CO) CD O 'v CL r C")• cu CU Q.q 0 aco -0 -"v o � 0 CD CD o a� CD CCD o C��D C CD V�• av y 3 O to CD CD S- CO) O -v z CD O Cl) O CD 0 C CD C ? 1 p = 2 O - fA p C' CA C p m H CS n m n O mmaC.) m N _ Z =r.0 N CA 0 � � •d► m T CD a d y CD p m o i =' m W m D CD -00 0 �. 1C1 -COD '� C aCos : •`� fVl CD m W v J C 71 aCD �:� N a ��� JJ C CA -0 { CIO m COD G n m Z, m O % p CC c % C, nCD: .Q C kiO=y ej d o CO CD C, = CD:� •�V 7d ; CD O o r� �' r o C - o e H 0 0 c Date � . 4 ll/ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING s o� ,�•' a ,SSACMUSE� This certifies that ........... / 6 ................... . has permission to perform ..��rt�.-r-�� ........ . plumbing in the buildings of �'. ................ at. F: `..�:��-'-�'!�................ . North Andover, Mass. oy h a ��l /mac �I�N Fee . �% .... Lic. No... �i �C............. _ PLUNSPECTOR Check .1 3 a r 046 .A MASSACHUSETTS UNIFORM APPLICAT�IONN FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS --l__' �/� Date Building Locati �'�G(%G Owners Name 1211-��-f" 6�IW 04 Permit # ju 14 (o Amount Type of Occupancy New 011� Renovation Replacement 1:1 Plans Submitted Yes No FXT"IRES • (Print or type) Check one: Certificate Installing Company Name i- 120 G ❑ Corp. Address Po Partner. Business Telephone Firm/Co. Name of Licensed Plumber: ,1 Insurance Coverage: Indicate the of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performe under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass hu State Plu g C nd Chapter 142 of the General Laws. By re oT LicenseurFiumDer Title Type f Plumbing License City/Town icense um er Master Journeyman F-1APPROVED (OFFICE USE ONLY Location -2 L[F S ?1` No. 2 ,6 / Date t TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 0 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ (j c Check # 15 1 7 0 / Building Inspector EXISTING DNP-WNG a..t ZONING DISTRICT R•4 SIDE SErWk REQUIRVA£NT• 12' MELLING AND REQUIRED PAPopNGCOVERS 1045 °i6 OF LOT Yif REFERM PLAN 5119 BY CYR ENGINEERING ,yr tin r Y ?P? v t 74,bo LOT a 17;1006± EAST N fF MMHILL I 'rfqG. �1 I I , , tNr- i �- 4O'-____ ! 1 BEET S P ? e PLOT PLAN OFLAND LOCATION 24-26 EAST WATER STREET' OAER-NANCY+RICHARD ROBINSON CATS -1-9-66 SCALE -I=20' PREPARED BY. - YANKEE ENGINEERS ' 22 LANTj-*p LAfvE METHUEN, MASS:pigq4 e� MORTGAGE INSPECTION PLOT PLAN NORTHERN_ ASSOCIATES, INC. 630 TURNPIKE STREET N.ANDOVER MA (508)975-7117 MORTBASOR.' RICHARD T. 0 NANCY C. ROBINSON DEED REF. 1486 291 LOCATIOAG• 24 EAST MATER STREET PLAN REF. 5919 CITY. STATE.' N. ANDOVER . MA SCALE: !- 40' DA TE.' 3 / 4 / 92 JOB s+t• 9212252 LOr 3 LOT 4 F�tJMe ____ _ LOT S 1/2 Sr0i MOQD EAST WA TER STREET CERTIFIED TO.' METHUEN CO—OPERATIVE BANK NOTE: This mortgage Inspection was prepared af.*dfically for mortgage purposes and is not to be railed ,jjxn as a survey. Northem Associates, Inc. accepts no esponsibiliiy for damages resulting from said relianm 4 anyone other than the said mortgagee and Its assigrfs In connection with Its proposed mortgage financing �O said mortgagor. I FURTHER STATE THAT IN MY PROFESSIONAL OPINION the principle smure/s and socessory with the eftac i requirements of the local zoning 0MVWtce1, and that there are no enc oad howts of major Improvements either way across property roes except u shown. Ift SQl'00 ALSO: This mortg • inspection was prepared 1n I t. Property Is not In a Flood HuArd Area. ' with the T•chn" Standards for Mortgage 0 2. Property is In a Flood Hatard Area. Inspections as adopted 1 ' the Massachusetts As atlon 0 3. Information Is insufficient ro determine flood Hazard. _ _. - er,...w u....,J A.- — i -. ----' -- Date...... ...... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� /./t- This certifies that _.,fL(' . ff . /f / has permission to perform /. Q!r/"„ plumbing in�the �uidinlLsof ,at .. !�c�/1.. .......... North Andover, Mass. Fee / -,!5',0 Lic. No. � 1U. PLUMBING INSPECTOR Check # . Y 6412 MASSACHUSETTS UNIFORM APPLICATION OR PERMIT TO DO PLUMBING or Typo /� fTNbOv Moss. Doe � 2 �- g — ; BuiMing Location 2� �T W � Owner's i►c � New 0 7 Name _ /N3Tivt/ V Type of OccupancyRem Nairar .LJ100, t Q-- -Plans Submitted: Yes Q No G .•. 4.— lnSWlM Canpany Name of Licensed plumber O Partnership wsurlr maZOMAM I have a earrrerrt �W o my or its � eyhi� Which meals the requites of MGL CR 142.Yes If you have mp P. dGld ya, Please indicate the type coverage b r checking the appropriate boot. A raWrrty insurance policy -[ Other type of i K*mfdjy 0 Bard 0 0"NE rS V"WWCE WAr ft l.am aware that the licensee does not have the by IQ of the Mass, General Laws, and that my sigt� on this rra,rana d permit apprr� vraires ttbs req*ernerft• :eae of Owner or owners Agent Owner m Check one: ! hereby artily that au of vie details end kdottrotion ! have bW cpf wW bwwk dgeand that au pwmbbV work and urwer tf 1000 m mie on we um and axwrn tD oomp6anoe with an pertinent pa,; of and S�aAe (-T ' .issued torous Gooe ion ws. Cove 742 of the Ga+eral Laws Type of umc Joumwnm i L=wm Number 1� 7 M: O .I � a O � f o. z. a oa �c S O 1� a o. z. a oa �c S A A 0 O = 3w � Z a C a Z a~i O � O p O C O 7 s Z D' 1� Date. . :45-.... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION tYThis certifies that ....... has permission for gas in the buildings of at Fee. Lic. No. 1,7. .Check # A .. . ........... North Andover, Mass. AU). GAS INSPECTOR ASSACHUSa-MUNIF ORM -APPLICATION. OMM at Type)- F0 -PERMU"TO ()O'GASFFMNa. ell � cf s Namw —O.wnee ^VCy.,6 Ll 10 S Type of New [3 Renovation. -O ._Rq*wemerAQ____� Plana. Submitted:. Ye*O:..,No, 3A 0—FLOOR. LOOR.- STWILOOR . 19: 4T ;FLOOR lnsWft CompanyWum- ousiness i eiephone Name of Licensed Pimberor-Gas Mar.. Ne v) --T- AA A- 0 Corporat Ion - 0 Partnership A Flrm/Co. INSURANCE. -OV.--, I" a awqMjWAjty kwAance PdW-,Or substantW- equtMefCwhfch -meets. Yes No 0 lhe requirement& d-w..L-*,ctL. .142.- M fou have:cheek@d_Yn4Aem*,a,,w_,t, AYWWby, checking � *PPWPddez box A . ll"fty.hsurafjcejxOW OUw-tjpe--,oLkxk=r*Y. a Bond- 0 OWNER'S INSURANCEMAWM-1 atm avangthat ;the llcernm ClIaPter 142,,,f the -Maw Genwgi�_-L&jvk _wW 1,W Instgull0ecoverage :tnYsigngkWe-onftftpem*-appUcglionw&bnmltlis required -by. requirement Check one: I WAA"Wor-10"WS OwnerO Agent,O I hereby car* Mat.ag of the deals and W=wfion bw*Q" and Met d mwftv ZZ, I have submitted (Of OnUw" in above aWkation am him and kutdafiwpwjQMwd � and accLirate.to.UM be4.of my. Perfinek Provisiorn of the Massachusefts Stete ras Coje VW underthe Pwn*"W for ViSAPPficafim *H be in cornpfi With 4 Chaptw 142 of the LaWIL f l.ioense: rdw -------- rmbw asfitter «, WT4 WS, genas Nurnber . Z�- a.C dz C I I I I I I I A dc at Iwto x z G I- 4C 4 C C rZ 141C; 444 C M 4gj =1 W Id at Id, -C C Z C Vim -M IN C St 0 99 r F ;M 3A 0—FLOOR. LOOR.- STWILOOR . 19: 4T ;FLOOR lnsWft CompanyWum- ousiness i eiephone Name of Licensed Pimberor-Gas Mar.. Ne v) --T- AA A- 0 Corporat Ion - 0 Partnership A Flrm/Co. INSURANCE. -OV.--, I" a awqMjWAjty kwAance PdW-,Or substantW- equtMefCwhfch -meets. Yes No 0 lhe requirement& d-w..L-*,ctL. .142.- M fou have:cheek@d_Yn4Aem*,a,,w_,t, AYWWby, checking � *PPWPddez box A . ll"fty.hsurafjcejxOW OUw-tjpe--,oLkxk=r*Y. a Bond- 0 OWNER'S INSURANCEMAWM-1 atm avangthat ;the llcernm ClIaPter 142,,,f the -Maw Genwgi�_-L&jvk _wW 1,W Instgull0ecoverage :tnYsigngkWe-onftftpem*-appUcglionw&bnmltlis required -by. requirement Check one: I WAA"Wor-10"WS OwnerO Agent,O I hereby car* Mat.ag of the deals and W=wfion bw*Q" and Met d mwftv ZZ, I have submitted (Of OnUw" in above aWkation am him and kutdafiwpwjQMwd � and accLirate.to.UM be4.of my. Perfinek Provisiorn of the Massachusefts Stete ras Coje VW underthe Pwn*"W for ViSAPPficafim *H be in cornpfi With 4 Chaptw 142 of the LaWIL f l.ioense: rdw -------- rmbw asfitter «, WT4 WS, genas Nurnber ri IA o v .. ` a . w o ..,, �.. d soo V °'• p 46: at _ 61 iL 9 r Z , W...- - .. AL 40 -